Introduction:
57 year old gentleman
Dental surgeon from Hyderabad, Diabetic, Hypertensive,IgA Nephropathy, Post LDRT in 2007, Baseline creat 2.1, On Triple immunosupressants now came with fever, cough, sputum since 12 days
Methods:
Subacute febrile illness with constitutional symptoms and occasional dry cough without obvious clinical focus in background of post LDRT on T cell immunosuppression ?differentials 1.PTLD 2.Tuberculosis 3.pcp 4.other viral infections
Results:
PET CT showed bilateral GGO, Rt upper lobe and left lower lobe showed ill defined interstitial infiltrate, Treated with doxycycline and oseltamivir. Bronchoscopy done which on evaluation with biofore showed HSV-1. Then started on iv Acyclovir and reducing IS.Within 1 week he improved was discharged
Conclusions:
HSV Pneumonia is very rare in SOT, WITH PROPHYLAXIS IN LESS THAN 3% of pts post HSCT, In renal transplant patients it is even rarer as compared to HSCT, After 1 year of renal transplant it is exceedingly rare
I have no potential conflict of interest to disclose.
I did not use generative AI and AI-assisted technologies in the writing process.